Diagnosis exam Flashcards
Floating - tense/tight
Exterior cold, BI SYNDROME due to wind, cold
Deep moderate
Yand deficiency with water damp retention
Floating moderate
wind attacking, disharmony of ying wei
FLoating rapid
wind heat
Floating slippery
Exterior syndome, wind phlegm
Deep slow
interior cold
Deep taught
Liver qi stagnation, fluid water retention
Yellow red and dry tounge
deep choppy
Blood stasis due to cold coagulation by yang deficiency
favourable and unfavourable
Means if the pulse matches the signs then it is favourable pulse,
Unfavourable would be is the pulse does not match the signs
The significance of pulse examination
- To recognize the exterior and interior of disease
- To judge the deficiency and excess
- To ascertain nature of disease
- To identify cause of disease
- To inspect the disease mechanism
- To predict the prognosis
Red face
Floating yang
Deficient heat because of the deficiency of Yin
Fluid retention tongue
Coating : White , thin and slippery
Body : Corpulent,
Cold and Dampness tongue
Coating: Yellow, greasy, thick
Body: Pale, corpulent and teeth marks
if patients have more cold then damp then their coating will be
Slippery
if patients have more Damp then cold then their coating will be
Greasy
Fish smell phlegm
Cold SYNDROME because of HEAT
Lower discharge fishy
Dampness
SIGNIFICANCE OF THE INSPECTION OF THE TONGUE
the sufficiency or
deficiency of genuine Qi and viscera; observing the tongue coating to
judge the nature of evil and the location of disease.
* 2) Judging whether the vital-qi is sufficient or deficient. The
exuberance or decline of visceral qi and blood can be shown in tongue.
* 3) Differentiating the location of a disease. In exogenous disease, the
thick or thin of the coating can reflect the deep or shallow of disease
location.
* 4) Differentiating the nature of pathogenic factors. Evils of different
natures will make different changes in tongue.
* 5) Estimating the prognosis of a disease. The changes of tongue usually
follow the changes of genuine qi and evils, and disease location. We can
infer the tendency of disease by observing tongue, especially in
exogenous febrile diseases.
Normal tongue
Tongue body: light red
(pink), bright, with moisture
and lustre, a suitable size,
and having softness and
flexibility.
Tongue coating: thin, white,
neither dry nor greasy or
slippery.
Normal tongue is usually
described as ‘pink tongue
with thin white coating
Pink tongue with a thin white coating
Age : old person toung
Tongue body of an elderly person
may appear cracked and papillae
atrophied due to deficiency of qi
and blood
Age : child tounge
Child’s tongue is lighter, tender,
and without or with less tongue
coating
Tongue Vitality
- Flourish—light red tongue body with energetic movement and enough fluid of it.
It suggests the normal stomach qi.
B: normal sublingual veins
Normally the veins are appropriately raised and slender with a
light purple colour, they are not convoluted, do not have
branches nor show static spots. The changes of the sublingual
veins reflect the flowing conditions of the qi and blood
Auscultation of Voices
- The variations of the patient’s voice are associated with the state of his
vital-qi and the nature of pathogenic factors. Generally speaking, if the
patient is talkative and restless with loud voice, his disease pertains to
excess syndrome, heat syndrome and exogenous diseases or syndromes.
If he likes to keep silent or speak little with feeble voice, his disease
pertains to deficiency syndrome, cold syndrome or internal injury.
- Hoarseness—
invasion of wind-cold, or the combined invasion of wind-heat and
wind-cold.
Chronic aphonia
prolonged diseases of lung in which condition lung yin is
insufficient and deficient fire scorches the metal and injures the lung, the lung could
not produce sound. ( broken bell does not sound)
Wheezing—the breath is rapid like asthma with loud sound as if phlegm in throat.
It is seen in early stage of exogenous evil invasion. The evil retains in the interior of the
lung in addition of the hiding fluid-retention. When wind-cold attacks the body, the evil
makes the qi obstructed.
Auscultation of cough
* Deficient type
- Nocturnal cough—kidney yin deficiency
- Dawn cough—spleen deficiency or cold-dampness in large
intestine
- Dawn cough—spleen deficiency or cold-dampness in large
- Low and feeble sound of cough with rapid breath—lung qi
deficiency
- Low and feeble sound of cough with rapid breath—lung qi
- Children’s cough:
- Whooping cough or hundred-day cough—wind evil in combination
with the hiding phlegm obstructing the air tract
- Whooping cough or hundred-day cough—wind evil in combination
- Fishy smell menstruation corresponds to
A cold pattern
- Foul order menstruation corresponds
to a heat pattern
- Yellow, thick, and foul smelling leucorrhoea corresponds to
Damp heat
White, thin, and fishy smelling leucorrhoea corresponds to
damp-cold
Chief
complaint
The chief complaint or
concern is the chief
symptom of the illness.
According to it, the
practitioner can
estimate the category
of the disease or illness
and the severity of the
condition.
Sign
Symptom
Syndrome
Syndrome differentiation
DIsease
SIGN is objective phenomenon that deviates from the normal physiological range after
disorder occurs. It is visible and can be felt, such as rash, bruise, and swelling. SYMPTOM is subjective occurrence of phenomenon when there is disorder. It cannot besensed by touching or looking. It is closer to feeling which can be only recognised by questions of practitioner. SYNDROME is pathological generalisation of a disease in its certain stage. It is summaris
ation of environment, causes, pathological location, the condition of vital qi, pathogenic f
actors and constitution of patient and so on. SYNDROME DIFFERENTIATION is analysing and sorting out clinical data of the patients collected on a wide scale so as to determine the cause, the location and the nature of pathogenic changes, to weight the degree of seriousness of the disease and the state of thevital qi in conflict with pathogenic factors and to get hold of the nature of the disease andits internal relations. DISEASE is the generalisation of the distinct features of a disorder in the whole process
and the specific law of pathologic
